Tamara Grissman, PA-C
NPI 1093022519ActiveIndividual· Physician Assistant· Oconomowoc, WI
Physician Assistant (PA-C) with Aurora Medical Group, Inc., practicing in Oconomowoc, Wisconsin. Enrolled in Medicare as practitioner - physician assistant.
Overview
| NPI | 1093022519 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PA-C |
| Sole proprietor | No |
| NPI issued | Sep 3, 2010 |
| Last updated in NPPES | Oct 13, 2025 |
| Certified by provider | Oct 13, 2025 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physician Assistant Primary | 363A00000X | 2652-023 | WI |
| Physician Assistant, Surgical | 363AS0400X | 2652-023 | WI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physician Assistant (WI) |
|---|
Education and affiliations
| Graduation year | 2010 |
|---|---|
| Medicare specialty | Physician Assistant |
Medical group
- Aurora Medical Group, Inc.Milwaukee, WI · 3,813 clinicians
Industry payments (Open Payments)
None reported for 2025 or 2024.
Receiving payments does not imply wrongdoing. What Open Payments covers ·original records
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